NxStage Reports Fourth Quarter and Full-Year 2009 Financial Results That Exceed Company Guidance

Thursday February 25, 2010

LAWRENCE, Mass., Feb 25, 2010 /PRNewswire via COMTEX/ — NxStage Medical, Inc. (Nasdaq: NXTM), a leading manufacturer of innovative dialysis products, today reported financial results for the three months and twelve months ended December 31, 2009, that include revenue and Adjusted EBITDA results above the top end of its guidance ranges.

Net revenue for the twelve months ended December 31, 2009, increased 15 percent to $148.7 million compared with revenue of $128.8 million for the full-year 2008. Revenue for the fourth quarter of 2009 increased 14 percent to a record $40.5 million compared with revenue of $35.7 million for the fourth quarter of 2008. The increase in both periods was driven by better than expected performance within the Company’s Home and Critical Care markets, which experienced annual growth of 31 percent and 20 percent, respectively, over 2008.

Home revenues grew to $63.5 million for the full-year 2009 compared with revenues of $48.3 million for the full-year 2008. Home revenues increased to $17.5 million in the fourth quarter of 2009 compared with revenue of $13.5 million in the fourth quarter of 2008, representing a 30 percent increase.

Critical Care revenues grew to $22.3 million for the full-year 2009 compared with revenues of $18.6 million for the full-year 2008. Revenues in the Critical Care market increased to $7.0 million in the fourth quarter of 2009, compared with revenue of $5.4 million in the fourth quarter of 2008, representing a 28 percent increase.

Annual revenues in the In-Center market, from the Company’s Medisystems business, were $62.9 million for the full-year 2009, compared with revenues of $61.9 million for the full-year 2008. Fourth quarter revenues were $16.0 million, in line with the Company’s expectations and compared with $16.7 million in the fourth quarter of 2008.

We are very pleased with the performance of the Company operationally, financially and strategically, stated Jeffrey H. Burbank, Chief Executive Officer of NxStage Medical, Inc. As a result of many successful activities during 2009, our business is strikingly different than it was a year ago at this time. We believe the systematic execution against our strategic initiatives throughout the past year positions us well for future growth and improved cash flow.

NxStage reported a net loss of $43.5 million or ($0.93) per share for the full-year 2009 compared with a net loss of $51.2 million or ($1.23) per share for the full-year 2008. The Company reported a net loss of $8.7 million or ($0.19) per share for the fourth quarter of 2009 compared with a net loss of $9.8 million, or ($0.21) per share for the fourth quarter of 2008.

For the full-year 2009, the Company reported an Adjusted EBITDA loss, adjusted for stock-based compensation, deferred revenue recognized and other non-cash and non-recurring expenses, of $12.7 million, compared with an Adjusted EBITDA loss of $29.2 million for the full-year 2008. For the fourth quarter of 2009, the Company had a $1.2 million Adjusted EBITDA loss, compared with an Adjusted EBITDA loss of $6.0 million in the fourth quarter of 2008. Both the annual and quarterly results were better than the Company’s guidance for an Adjusted EBITDA loss of $13 to $18 million and $1.5 to $2.5 million for the full-year and fourth quarter of 2009, respectively. (See the exhibits for a reconciliation of this non-GAAP measure.)

Guidance:

For the first quarter of 2010, the Company is forecasting revenues to be between $38 million and $39.5 million, a net loss in the range of $9.0 to $10.0 million or ($0.19) to ($0.21) per share, and an Adjusted EBITDA loss in the range of $1 to $2 million.

For the full fiscal year 2010, the Company is forecasting revenues to be between $163 to $170 million, a net loss in the range of $28 to $33 million or ($0.60) to ($0.71) per share, and for Adjusted EBITDA to be in the range of a positive $1 million to ($3.0) million. The Company expects to achieve consolidated gross margins of between 33 percent to 37 percent in the fourth quarter of 2010.

This release contains a non-GAAP financial measure, a reconciliation of the Company’s non-GAAP financial measure to its most comparable GAAP financial measure is in the exhibits to this press release.

Conference Call:

NxStage will also host a conference call today, February 25, 2010 at 9:00 a.m. Eastern Time to discuss its fourth quarter and full year 2009 financial results. To listen to the conference call, please dial 866-356-4441 (domestic) or 617-597-5396 (international). The passcode is 53221195. The call will also be webcast LIVE and can be accessed via the investor relations section of the Company’s website at www.nxstage.com/ir.cfm.

A replay of the conference call will be available 2 hours after the start of the call through March 11, 2010. To access the replay dial 888-286-8010 (domestic) or 617-801-6888 (international) and enter passcode 89582057. An online archive of the conference call can be accessed via the investor relations section of the Company’s website at www.nxstage.com/ir.cfm.

About NxStage

NxStage Medical, Inc. (Nasdaq: NXTM) is a medical device company, headquartered in Lawrence, Massachusetts, USA, that develops, manufactures and markets innovative products for the treatment of ESRD and acute kidney failure. For more information on NxStage and its products, please visit the company’s website at http://www.nxstage.com/.

Forward-Looking Statements

This release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. All statements contained in this release that are not clearly historical in nature are forward-looking, and the words anticipate, believe, expect, estimate, plan, and similar expressions are generally intended to identify forward- looking statements. Examples of these forward-looking statements include statements as to the anticipated demand for the Company’s products, anticipated operating results, including revenues, loss, gross margin and Adjusted EBITDA numbers, expectations regarding achievement of improved cash flow, and other expectations as to future operating results. All forward-looking statements involve risks, uncertainties and contingencies, many of which are beyond NxStage’s control, which may cause actual results, performance, or achievements to differ materially from anticipated results, performance or achievements, including market acceptance and demand for NxStage’s products, growth in home and/or daily hemodialysis, unanticipated difficulties in achieving operational efficiencies and cost reductions, changes in reimbursement for home and daily hemodialysis, changes in the regulatory environment, changes in the historical purchasing patterns and preferences of our major customers, including DaVita Inc., and certain other factors that may affect future operating results and which are detailed in NxStage’s filings with the Securities and Exchange Commission, including its Quarterly Report on Form 10-Q for the period ended September 30, 2009.

In addition, the statements in this press release represent NxStage’s expectations and beliefs as of the date of this press release. NxStage anticipates that subsequent events and developments may cause these expectations and beliefs to change. However, while NxStage may elect to update these forward-looking statements at some point in the future, it specifically disclaims any obligation to do so, whether as a result of new information, future events, or otherwise. These forward-looking statements should not be relied upon as representing NxStage’s expectations or beliefs as of any date subsequent to the date of this press release.

 Contact: Kristen K. Sheppard, Esq. VP, Investor Relations ksheppard@nxstage.com 

Non-GAAP Financial Measure

The Company discloses a non-GAAP financial measure to supplement the Company’s consolidated financial statements presented on a GAAP basis. This non-GAAP measure is not in accordance with, or an alternative for, generally accepted accounting principles in the United States and may be different from similar non-GAAP financial measures used by other companies. The non-GAAP financial measure disclosed by the Company is not meant to be considered superior to or a substitute for results of operations prepared in accordance with GAAP. Management uses Adjusted EBITDA (EBITDA adjusted for stock based-compensation, deferred revenue recognized, and other non-cash and non-recurring expenses) to understand operational cash usage. The Company believes this non-GAAP financial measure provides useful and supplementary information allowing investors greater transparency to one measure used by management. This non-GAAP financial measure is meant to supplement, and to be viewed in conjunction with, GAAP financial measures. This non-GAAP financial measure is reconciled to the most comparable GAAP financial measure below.

 NxStage Medical, Inc. Consolidated Statements of Operations (amounts in thousands, except per share data) (unaudited) Three Months Twelve Months Ended Ended December 31, December 31, ------------ ------------ 2009 2008 2009 2008 ---- ---- ---- ---- Revenues $40,510 $35,676 $148,676 $128,763 Cost of revenues 29,063 28,515 111,812 108,387 ------ ------ ------- ------- Gross profit 11,447 7,161 36,864 20,376 ------ ----- ------ ------ Operating expenses: Selling and marketing 7,956 7,028 30,047 27,965 Research and development 2,434 2,416 9,814 8,890 Distribution 3,442 4,065 13,918 14,267 General and administrative 5,020 4,796 19,532 19,239 ----- ----- ------ ------ Total operating expenses 18,852 18,305 73,311 70,361 ------ ------ ------ ------ Loss from operations (7,405) (11,144) (36,447) (49,985) ------ ------- ------- ------- Other income (expense): Interest income 3 191 35 489 Interest expense (1,308) (969) (6,790) (3,877) Change in fair value of financial instruments - 2,285 - 2,536 (1,305) 1,507 (6,755) (852) ------ ----- ------ ---- Net loss before income taxes (8,710) (9,637) (43,202) (50,837) Provision for income taxes (33) 126 265 374 ------- ------- -------- -------- Net loss $(8,677) $(9,763) $(43,467) $(51,211) ======= ======= ======== ======== Net loss per share, basic and diluted $(0.19) $(0.21) $(0.93) $(1.23) ====== ====== ====== ====== Weighted-average shares outstanding, basic and diluted 46,704 46,492 46,627 41,803 ====== ====== ====== ====== NxStage Medical, Inc. Consolidated Balance Sheets (amounts in thousands, except share data) (unaudited) December 31, December 31, 2009 2008 ---- ---- ASSETS Current assets: Cash and cash equivalents $21,720 $26,642 Accounts receivable, net 14,238 11,886 Inventory 28,117 30,862 Prepaid expenses and other current assets 1,227 2,011 ----- ----- Total current assets 65,302 71,401 Property and equipment, net 10,336 12,254 Field equipment, net 21,726 30,445 Deferred cost of revenues 27,799 23,711 Intangible assets, net 28,208 31,004 Goodwill 42,698 42,698 Other assets 909 553 --- --- Total assets $196,978 $212,066 ======== ======== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts payable $19,827 $17,183 Accrued expenses 9,377 10,746 Current portion of long-term debt 61 9,110 -- ----- Total current liabilities 29,265 37,039 Deferred revenue 38,490 29,634 Long-term debt 37,854 21,054 Other long-term liabilities 1,923 1,892 ----- ----- Total liabilities 107,532 89,619 Commitments and contingencies Stockholders' equity: Undesignated preferred stock: par value $0.001, 5,000,000 shares authorized; no shares issued and outstanding as of December 31, 2009 and 2008 - - Common stock: par value $0.001, 100,000,000 shares authorized; 46,795,859 and 46,548,585 shares issued and outstanding as of December 31, 2009 and 2008, respectively 47 47 Additional paid-in capital 365,548 355,266 Accumulated deficit (276,714) (233,247) Accumulated other comprehensive income 565 381 --- --- Total stockholders' equity 89,446 122,447 ------ ------- Total liabilities and stockholders' equity $196,978 $212,066 ======== ======== NxStage Medical, Inc. Cash Flows from Operating Activities (amounts in thousands) (unaudited) Years Ended December 31, ------------ 2009 2008 ---- ---- Cash flows from operating activities: Net loss $(43,467) $(51,211) Adjustments to reconcile net loss to net cash used in operating activities: Depreciation and amortization 20,778 19,201 Amortization of inventory step-up - 52 Stock-based compensation 9,226 5,842 Change in fair value of financial instruments - (2,536) Other 2,690 1,038 Changes in operating assets and liabilities: Accounts receivable (2,208) (4,761) Inventory (9,209) (23,431) Prepaid expenses and other current assets 1,513 747 Accounts payable 2,568 (4,626) Accrued expenses and other liabilities (119) (3,641) Deferred revenue 5,071 10,104 ----- ------ Net cash used in operating activities $(13,157) $(53,222) ======== ======== NxStage Medical Inc. Revenue by Segment (amounts in thousands) (unaudited) Three Months Twelve Months Ended Ended December 31, December 31, ------------ ------------ 2009 2008 2009 2008 ---- ---- ---- ---- System One segment Home $17,547 $13,512 $63,461 $48,319 Critical Care 6,959 5,447 22,340 18,554 ----- ----- ------ ------ Total System One segment 24,506 18,959 85,801 66,873 In-Center segment 16,004 16,717 62,875 61,890 ------ ------ ------ ------ Total $40,510 $35,676 $148,676 $128,763 ======= ======= ======== ======== NxStage Medical Inc. Non-GAAP Financial Measures (amounts in millions) (unaudited) Three Months Twelve Months Ended Ended December 31, December 31, ------------ ------------ 2009 2008 2009 2008 ---- ---- ---- ---- Net loss $8.7 $9.8 $43.5 $51.2 Less: Depreciation, amortization, interest, and taxes (6.7) (6.0) (27.9) (23.0) Less: Adjusting items* (0.8) 2.2 (2.9) 1.0 ---- ---- ----- ----- Adjusted EBITDA loss $1.2 $6.0 $12.7 $29.2 ==== ==== ===== ===== * Adjusting items include stock-based compensation, deferred revenue recognized and other non-cash and non-recurring expenses NxStage Medical Inc. Non-GAAP Financial Guidance (amounts in millions) (unaudited) Three Months Twelve Months Ending Ending March 31, 2010 December 31, 2010 -------------- ----------------- Low High Low High Estimate Estimate Estimate Estimate -------- -------- -------- -------- Net loss $9.0 $10.0 $28.0 $33.0 Less: Depreciation amortization, interest, and taxes (7.0) (7.0) (27.0) (27.5) Less: Adjusting items* (1.0) (1.0) (2.0) (2.5) ---- ---- ----- ---- Adjusted EBITDA loss $1.0 $2.0 $(1.0) $3.0 ==== ==== ===== ==== * Adjusting items include stock-based compensation, deferred revenue recognized and other non-cash and non-recurring expenses. 

SOURCE NxStage Medical, Inc.